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What to expect after surgery
When you wake up after the operation, you will be in a recovery room near the operating theatre or in the intensive care unit. Once you are fully conscious, you will be taken back to your bed on the hospital ward. The surgeon will visit you as soon as possible to explain the results of the operation.
Learn more about:
Tubes and drips
You are likely to have several tubes in place, which will be removed as you recover. These could include:
- a drip inserted into a vein in your arm (intravenous drip) which will give you fluid, medicines and pain relief
- a small plastic tube (catheter) inserted into your bladder to collect urine in a bag
- a tube inserted down your nose into your stomach (nasogastric tube) to drain stomach fluid and prevent vomiting
- tubes inserted into your abdomen to drain fluid from the site of the operation.
Pain
As with all major surgery, you will have some discomfort or pain, but this can be controlled. For the first 1–2 days, you may be given pain medicine through a:
- drip into a vein (intravenous drip)
- local anaesthetic injection into the abdominal wall (a transverse abdominis plane or TAP block) or into the spine (an epidural)
- patient-controlled analgesia (PCA) system – you press a button to give yourself a measured dose of pain relief.
Let your doctor or nurse know if you are in pain so they can adjust your medicines to make you as comfortable as possible. Pain that is treated early is better managed. After you go home, you can continue taking pain medicines as needed.
Pain in the shoulder
During a laparoscopy, carbon dioxide gas is used to inflate t abdomen. The gas can irritate nearby nerves. This can cause pain in the lower chest and up into the shoulder area, which is known as “referred pain”. This type of pain can be quite uncomfortable and may last several days. Walking and mild pain medicines can help ease the pain in the shoulder. Applying heat to the area may also help.
I felt great relief after the surgery, as once the tumour had been removed, the pain that I had in my lower abdomen and hip was gone.
Ann
Blood clot prevention
You will be encouraged to move around and be active as soon as you can. It is common to be given a daily injection of blood-thinning medicine to reduce the risk of blood clots. Depending on your risk of clotting, you may be taught to give this injection to yourself so you can continue it for a few weeks at home. You may also be advised to wear compression stockings for 3–4 weeks to help the blood in your legs to circulate and to avoid clots.
Wound care
You can expect some light vaginal bleeding after the surgery, which should stop within 2 weeks. Your treatment team will talk to you about how you can keep the wound clean to prevent infection once you go home.
If you had part of the bowel removed and have a stoma, a stomal therapy nurse will explain how to manage it.
Length of stay
Your stay in hospital will generally be 1–4 days. How long you stay will depend on the type of surgery you had and how quickly you recover. If you had laparoscopic surgery, you will be able to go home on the first or second day after the operation.
For more on this, see our general section on Surgery.
Will I need further treatment after surgery?
All tissue and fluids removed during surgery are checked for cancer cells by a pathologist. The results will help confirm the type of ovarian cancer you have, if it has spread (metastasised), and its stage.
Your doctor should have all the test results within 2 weeks of surgery.
Further treatment will depend on the type, stage and grade of the cancer.
If the cancer is advanced, it’s more likely to come back, so surgery will usually be followed by chemotherapy, and occasionally by targeted therapy. Radiation therapy is recommended only in particular cases.
→ READ MORE: Taking care of yourself at home after surgery
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Dr Antonia Jones, Gynaecological Oncologist, The Royal Women’s Hospital and Mercy Hospital for Women, VIC; Dr George Au-Yeung, Medical Oncologist, Peter MacCallum Centre, VIC; Dr David Chang, Radiation Oncologist, Peter MacCallum Cancer Centre, VIC; Prof Anna DeFazio AM, Sydney West Chair of Translational Cancer Research, The University of Sydney, Director, Centre for Cancer Research, The Westmead Institute for Medical Research and Director, Sydney Cancer Partners, NSW; Ian Dennis. Consumer (Carer); A/Prof Simon Hyde, Head of Gynaecological Oncology, Mercy Hospital for Women, VIC; Carmel McCarthy, Consumer; Quintina Reyes, Clinical Nurse Consultant – Gynaecological Oncology, Westmead Hospital, NSW; Deb Roffe, 13 11 20 Consultant, Cancer Council SA.
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